Reimbursement for outpatient hospital services under No-Fault for treatment rendered on and after January 1, 1987.

October 16, 1987 SUBJECT: INSURANCE Circular Letter No. 18 (1987) WITHDRAWN TO: ALL AUTOMOBILE SELF-INSURERS AND INSURERS LICENSED TO WRITE AUTOMOBILE INSURANCE IN NEW YORK STATE RE: REIMBURSEMENT FOR OUTPATIENT HOSPITAL SERVICES UNDER NO-FAULT FOR TREATMENT RENDERED ON AND AFTER JANUARY 1, 1987 According to the provisions of 11 NYCRR 68.2 (Regulation No. 83), the schedule of rates for hospital outpatient services provided pursuant to section 5102(a)(1) of the Insurance Law shall be the rates approved by the Chairman of the Workers' Compensation Board. The attached schedule of rates has been established by the Chairman pursuant to Chapter 453 of the Laws of 1984. Accordingly, no-fault insurers shall use the schedule for payment of hospital outpatient services rendered during the period of January 1, 1987 through June, 30, 1988. Also, enclosed are Amendments to the June 17, 1984 Chiropractic Fee Schedule and Amendments to the September 1986 Medical Fee Schedule. Amendments attached are effective September 1, 1987. Very truly yours, JAMES P. CORCORAN Superintendent of Insurance HOSPITAL INPATIENT FEE SCHEDULE Effective 1/1/87 - 12/31/87 The inpatient Hospital Fee Schedule was recommended and certified by the State Commissioner of Health and approved by the Chairman of the Workers' Compensation Board. These rates were developed in accordance with amendments to Article 2803 and 2807 of the Public Health Law as set forth in Chapter 807 of the Laws of 1986, as amended by Chapter 906 of the Laws of 1985, Chapters 266, 267 and 268 of the Laws of 1986 and Pan 86 of the Commissioner of Health's Administrative Rules and Regulations. These charges are for use in payment of claims under the Workers' Compensation Law and the Volunteer Firefighters' Benefit Law. Chairman KEY TO EXCLUSIONS A - ANESTHESIOLOGY B - RADIOLOGY C - PHYSICAL THERAPY D - PATHOLOGY E - EKG F - EEG G - NUCLEAR MEDICINE H - CAT SCAN I - ULTRASOUND J - EMG K - THERAPEUTIC RADIOLOGY L - STRESS TESTS M - RESPIRATORY THERAPY N - CARDIOLOGY O - RADIOISOTOPES P - NEUROLOGY Q - PSYCHOLOGY R - OXYGEN THERAPY WORKERS' COMPENSATION HOSPITAL INPATIENT FEE SCHEDULE WESTERN NEW YORK REGION EFFECTIVE 1/1/87 - 12/31/87 DAILY RATE EXCLUSIONS: ALLEGANY CUBA MEMORIAL HOSPITAL INC $ 340.62 ALL INCLUSIVE INPATIENT ACUTE CARE MEMORIAL HOSPITAL OF WM F & GERTRUDE F JONES A/K/A JONES MEMORIAL INPATIENT ACUTE CARE $ 277.90 ALL INCLUSIVE CATTARAUGUS OLEAN GENERAL HOSPITAL $ 314.16 A,B OTHER: E.R. INPATIENT ACUTE CARE PHYSICIANS SALAMANCA HOSPITAL DISTRICT AUTHORITY $ 306.89 B,I INPATIENT ACUTE CARE ST FRANCIS HOSPITAL OF OLEAN INPATIENT ACUTE CARE $ 325.32 B TRI-COUNTY MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 271.12 A,B,E,I,L CHAUTAUQUA BROOKS MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 556.41 A,B JAMESTOWN GENERAL HOSPITAL INPATIENT ACUTE CARE $ 366.84 A,B,C,D LAKE SHORE HOSPITAL INC INPATIENT ACUTE CARE $ 267.85 A WESTFIELD MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 319.29 B WOMAN'S CHRISTIAN ASSOCIATION INPATIENT ACUTE CARE $ 323.46 A,B ERIE BERTRAND CHAFFEE HOSPITAL $ 268.92 A,C INPATIENT ACUTE CARE BUFFALO COLUMBUS HOSPITAL $ 414.07 ALL INCLUSIVE INPATIENT ACUTE CARE BUFFALO. GENERAL HOSPITAL $ 589.28 A,B,C,E,H,K,0 INPATIENT ACUTE CARE OTHER: ANGIOLOGY, ECHO CHILDREN'S HOSPITAL OF BUFFALO INPATIENT ACUTE CARE $ 477.00 A ERIE COUNTY MEDICAL CENTER INPATIENT ACUTE CARE $ 488.43 A,B,C,D DETOX UNIT $ 317.42 A,B,C,D KENMORE MERCY HOSPITAL INPATIENT ACUTE CARE $ 274.12 A MERCY HOSPITAL OF BUFFALO INPATIENT ACUTE CARE $ 295.12 A,B MILLARD FILLMORE HOSPITAL INPATIENT ACUTE CARE $ 377.39 A,B DAILY RATE EXCLUSIONS ERIE OUR LADY OF VICTORY HOSPITAL OF LACKAWANNA INPATIENT ACUTE CARE $ 303.71 A,B,F,L,J OTHER ENDOSCOPY, SONOGRAMS, ENDO CARDIOGRAMS ROSWELL PARK MEMORIAL INSTITUTE INPATIENT ACUTE CARE $ 631.19 ALL INCLUSIVE SAINT FRANCIS HOSPITAL OF BUFFALO INPATIENT ACUTE CARE $ 285.79 A SHEEHAN MEMORIAL EMERGENCY HOSPITAL INC INPATIENT ACUTE CARE $ 382.07 B SHERIDAN PARK HOSPITAL INC INPATIENT ACUTE CARE $ 465.86 ALL INCLUSIVE SISTERS OF CHARITY HOSPITAL INPATIENT ACUTE CARE $ 288.46 A,B ST JOSEPH INTERCOMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 271.26 A GENESEE GENESEE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 328.88 A,B ST JEROME HOSPITAL INPATIENT ACUTE CARE $ 276.56 B NIAGARA DEGRAFF MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 321.90 A,B INTER--COMMUNITY MEMORIAL HOSPITAL AT NEWFANE INC INPATIENT ACUTE CARE $ 280.68 A,B LOCKPORT MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 372.63 A,B MOUNT ST MARY'S HOSPITAL OF NIAGARA FALLS INPATIENT ACUTE CARE $ 350.14 A NIAGARA FALLS MEMORIAL MEDICAL CENTER INPATIENT ACUTE CARE $ 358.85 A ORLEANS ARNOLD GREGORY MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 278.53 ALL INCLUSIVE MEDINA MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 284.80 A,B,C,G,I WYOMING WYOMING COUNTY COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 368.44 A,B,E,L DAILY RATE EXCLUSIONS: CHEMUNG ARNOT-OGDEN MEMORIAL HOSPITAL $ 455.55 A,B,F INPATIENT ACUTE CARE ST JOSEPH'S HOSPITAL OF ELMIRA $ 481.44 A,B INPATIENT ACUTE CARE LIVINGSTON NICHOLAS H NOYES MEMORIAL HOSPITAL $ 337.13 A,B INPATIENT ACUTE CARE MONROE GENESEE HOSPITAL OF ROCHESTER $ 488.27 A,B INPATIENT ACUTE CARE HIGHLAND HOSPITAL OF ROCHESTER $ 499.20 A,B INPATIENT ACUTE CARE LAKESIDE MEMORIAL HOSPITAL $ 469.04 A,B INPATIENT ACUTE CARE MONROE COMMUNITY HOSPITAL $ 552.83 A,B,C INPATIENT ACUTE CARE PARK RIDGE HOSPITAL $ 474.66 A,B,C INPATIENT ACUTE CARE ROCHESTER GENERAL HOSPITAL $ 495.64 A,B INPATIENT ACUTE CARE ST MARYS. HOSPITAL OF ROCHESTER $ 655.51 A,B,C,N INPATIENT ACUTE CARE STRONG MEMORIAL HOSPITAL $ 586.73 A,B INPATIENT ACUTE CARE ONTARIO CLIFTON SPRINGS HOSPITAL AND CLINIC $ 291.15 A,B,Q INPATIENT ACUTE CARE F F THOMPSON HOSPITAL $ 287.69 A,B INPATIENT ACUTE CARE GENEVA GENERAL HOSPITAL $ 392.14 A INPATIENT ACUTE CARE SCHUYLER SCHUYLER HOSPITAL $ 341.45 A,B OTHER, ER INPATIENT ACUTE CARE PRIMARY CARE SENECA SENECA FALLS HOSPITAL $ 436.25 B,D,E,M INPATIENT ACUTE CARE WATERLOO MEMORIAL HOSPITAL INC D/B/A TAYLOR-BROWN MEMORIAL HOSP INPATIENT ACUTE CARE $ 321.55 A DAILY RATE EXCLUSIONS STEUBEN CORNING HOSPITAL INPATIENT ACUTE CARE $ 343.47 A, B IRA DAVENPORT MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 303.24 A SAINT JAMES MERCY HOSPITAL INPATIENT ACUTE CARE $ 277.82 A, B, C, D OTHER: PULMONARY WAYNE MYERS COMMUNITY HOSPITAL FOUNDATION INC INPATIENT ACUTE CARE $ 346.42 A, B NEWARK-WAYNE COMMUNITY HOSPITAL INC INPATIENT ACUTE CARE $ 353.84 A, B YATES SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC INPATIENT ACUTE CARE $ 373.22 A DAILY RATE EXCLUSIONS: BROOME OUR LADY OF LOURDES MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 371.56 A, B, G, H, I, OTHER: RADIOCHEMISTRY UNITED HEALTH SERVICES INC INPATIENT ACUTE CARE $ 488.99 A, B, C REHABILITATION $ 170.41 A, B, C CAYUGA AUBURN MEMORIAL HOSPITAL A, B, E, G, H, I, OTHER: INPATIENT ACUTE CARE $ 283.14 PULMONARY CHENANGO CHENANGO MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 433.94 A, B, CORTLAND CORTLAND MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 453.54 A, B, C HERKIMER LITTLE FALLS HOSPITAL INPATIENT ACUTE CARE $ 253.33 A, B MOHAWK VALLEY GENERAL HOSPITAL INPATIENT ACUTE CARE $ 225.22 A, B JEFFERSON CARTHAGE AREA HOSPITAL INC INPATIENT ACUTE CARE $ 306.16 A, B EDWARD JOHN NOBLE HOSPITAL INC ALEXANDRIA BAY INPATIENT ACUTE CARE $ 275.64 B HOUSE OF GOOD SAMARITAN INPATIENT ACUTE CARE $ 320.24 A, B, C MERCY HOSPITAL OF WATERTOWN INPATIENT ACUTE CARE $ 490.54 A, B LEWIS LEWIS COUNTY GENERAL HOSPITAL INPATIENT ACUTE CARE $ 292. 67 B MADISON COMMUNITY MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 331.20 A, B ONEIDA CITY HOSPITAL INPATIENT ACUTE CARE $ 298.57 A, B, D, O ONEIDA CHILDREN'S HOSPITAL AND REHABILITATION CENTER REHABILITATION $ 323.23 B FAXTON HOSPITAL INPATIENT ACUTE CARE $ 317.54 B DAILY RATE EXCLUSIONS: ONEIDA ROME HOSPITAL AND MURPHY MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 288.69 A,B,C,F,G,H,I,O ST ELIZABETH HOSPITAL INPATIENT ACUTE CARE $ 441.03 A,B,C ST LUKE'S MEMORIAL HOSPITAL CENTER INPATIENT ACUTE CARE $ 358.51 A,B,C,E ONONDAGA COMMUNITY GENERAL HOSPITAL OF GREATER SYRACUSE INPATIENT ACUTE CARE $ 386.09 A,B,G, OTHER: NON-INVASIVE VASCULAR LAB CROUSE - IRVING MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 502.78 A,B,D,E,G ST JOSEPH'S HOSPITAL HEALTH CENTER INPATIENT ACUTE CARE $ 420.68 A,B,D, OTHER: VASCULAR LAB, PULMONARY FUNCTION LAB, CARDIO VASCULAR LAB STATE UNIVERSITY HOSPITAL STATE MEDICAL CENTER INPATIENT ACUTE CARE $ 516.64 A,B,C OSWEGO ALBERT LINDLEY LEE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 329.59 A,B,D OSWEGO HOSPITAL INPATIENT ACUTE CARE $ 271.0 A,B,C ST LAWRENCE A BARTON HEPBURN HOSPITAL INPATIENT ACUTE CARE $ 432.63 A,B CANTON-POTSDAM HOSPITAL INPATIENT ACUTE CARE $ 377.29 A,B,C CLIFTON-FINE HOSPITAL INPATIENT ACUTE CARE $ 376.95 EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR $ 299.73 A,B,E INPATIENT ACUTE CARE DAILY RATE EXCLUSIONS: ST LAWRENCE MASSENA MEMORIAL HOSPITAL A INPATIENT ACUTE CARE $ 363.69 TIOGA TIOGA GENERAL HOSPITAL A,B,C,D,N INPATIENT ACUTE CARE $ 384.91 TOMPKINS TOMPKINS COUNTY HOSPITAL $ 344.15 A,B,C,E,F INPATIENT ACUTE CARE DAILY RATE EXCLUSIONS: ALBANY ALBANY MEDICAL CENTER HOSPITAL INPATIENT ACUTE CARE $ 486.64 A,B CHILD'S HOSPITAL INPATIENT ACUTE CARE $ 626.15 A,B,C,D MEMORIAL HOSPITAL OF ALBANY INPATIENT ACUTE CARE $ 366.36 A,B,C,D,G,H,I ST PETER'S HOSPITAL INPATIENT ACUTE CARE $ 343.80 A,B,C,E,F,H,I,K,O,R OTHER: CARDIOPULMONARY CLINTON CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER INPATIENT ACUTE CARE $ 280.21 A,B,E COLUMBIA COLUMBIA MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 346.48 B DELAWARE A LINDSAY & OLIVE B O'CONNOR HOSPITAL INPATIENT ACUTE CARE $ 349.47 A COMMUNITY HOSPITAL OF STAMFORD INPATIENT ACUTE CARE $ 340.35 ALL INCLUSIVE WARE VALLEY HOSPITAL INC INPATIENT ACUTE CARE $ 436.92 B MARGARETVILLE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 392.70 B THE HOSPITAL INPATIENT ACUTE CARE $ 332.41 A,B ESSEX ELIZABETHTOWN COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 316.13 A,B,D,E,F MOSES-LUDINGTON HOSPITAL INPATIENT ACUTE CARE $ 438.48 B,D PLACID MEMORIAL HOSPITAL INC INPATIENT ACUTE CARE $ 375.14 B,D FRANKLIN ALICE HYDE MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 275.40 B GENERAL HOSPITAL OF SARANAC LAKE INPATIENT ACUTE CARE $ 253.31 A,B,D DAILY RATE EXCLUSIONS: FULTON JOHNSTOWN HOSPITAL A,C INPATIENT ACUTE CARE $ 306.58 NATHAN LITTAUER HOSPITAL INPATIENT ACUTE CARE $ 412.84 A,B GREENE MEMORIAL HOSPITAL AND NURSING HOME OF GREENE COUNTY INPATIENT ACUTE CARE $ 383.10 A,B MONTGOMERY AMSTERDAM MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 266.97 A,B,C,D,N ST MARY'S HOSPITAL AT AMSTERDAM $ 312.50 A,B,C,D,E,F INPATIENT ACUTE CARE OTSEGO AURELIA OSBORN FOX MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 359.23 A,B,F MARY IMOGENE BASSETT HOSPITAL INPATIENT ACUTE CARE $ 477.62 A,B,D RENSSELAER LEONARD HOSPITAL INPATIENT ACUTE CARE $ 329.17 A,B,C,F REHABILITATION $ 214.65 A,B,C,F SAMARITAN HOSPITAL OF TROY INPATIENT ACUTE CARE $ 296.35 A,B,C ST MARY'S HOSPITAL OF TROY $ 303.05 A,B,D,F INPATIENT ACUTE CARE SARATOGA ADIRONDACK REGIONAL HOSPITAL INPATIENT ACUTE CARE $ 352.04 B,D,N OTHER: HOLTER MONITOR SARATOGA HOSPITAL INPATIENT ACUTE CARE $ 352.94 A,B,D,F,H,J, OTHER: VASCULAR LAB SCHENECTADY BELLEVUE MATERNITY HOSPITAL INC INPATIENT ENT ACUTE CARE $ 418.69 A,B ELLIS HOSPITAL INPATIENT ACUTE CARE $ 417.51 A,B,C,D DAILY RATE EXCLUSIONS: SCHENECTADY ST CLARE'S HOSPITAL OF SCHENECTADY A,B,C,D,G, OTHER: INPATIENT ACUTE CARE $ 576.20 GASTROENTEROLOGY PROCTOLOGY SUNNYVIEW HOSPITAL AND REHABILITATION CENTER INPATIENT ACUTE CARE $ 274.43 CYSTOMETRY SCHOHARIE COMMUNITY HOSPITAL OF SCHOHARIE COUNTY INC INPATIENT ACUTE CARE $ 327.03 A,C WARREN GLENS FALLS HOSPITAL INPATIENT ACUTE CARE $ 327.70 A,B,D,N WASHINGTON EMMA LAING STEVENS HOSPITAL INPATIENT ACUTE CARE $ 570.97 B MARY MCCLELLAN HOSPITAL INPATIENT ACUTE CARE $ 344.88 B,O DAILY RATE EXCLUSIONS: DUTCHESS HIGHLAND HOSPITAL OF BEACON -- SEE ST FRANCIS HOSPITAL OF BEACON NORTHERN DUTCHESS HOSPITAL INPATIENT ACUTE CARE $ 336.95 A,B,C,D ST FRANCIS HOSPITAL OF BEACON INPATIENT ACUTE CARE $ 348.48 A,B,C,E,F,N ST FRANCIS HOSPITAL OF POUGHKEEPSIE INPATIENT ACUTE CARE $ 411.83 A,B VASSAR BROTHERS HOSPITAL INPATIENT ACUTE CARE $ 390.99 A,B,D, OTHER: RADIATION ONCOLOGY ORANGE ARDEN HILL HOSPITAL INPATIENT ACUTE CARE $ 318.38 A,B,D,J CORNWALL HOSPITAL INPATIENT ACUTE CARE $ 360.76 A,B,G,H,I,L OTHER: DIAG. RADIOLOGY HOLTER MONITOR. E A HORTON MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 381.99 A,B,C,D,E,F OTHER: RENAL CARDIOPULMONARY MERCY COMMUNITY HOSPITAL -- SEE ST FRANCIS-MERCY HOSPITAL ST ANTHONY COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 358.20 A,B ST FRANCIS-MERCY HOSPITAL INPATIENT ACUTE CARE $ 398.17 A,B,D ST LUKE'S HOSPITAL OF NEWBURGH INPATIENT ACUTE CARE $ 316.67 A,B PUTNAM JULIA BUTTERFIELD MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 355.26 A,B,D,E PUTNAM COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 358.68 A,B,C ROCKLAND GOOD SAMARITAN HOSPITAL OF SUFFERN INPATIENT ACUTE CARE $ 526.22 A,B,H,J,N, OTHER: DIALYSIS HELEN HAYES HOSPITAL INPATIENT ACUTE CARE $ 550.21 ALL INCLUSIVE NYACK HOSPITAL INPATIENT ACUTE CARE $ 444.65. A,B,D SUMMIT PARK HOSPITAL ROCKLAND COUNTY INFIRMARY INPATIENT ACUTE CARE $ 267.04 ALL INCLUSIVE PSYCHIATRIC CARE $ 211.01 ALL INCLUSIVE DAILY RATE EXCLUSIONS: SULLIVAN COMMUNITY GENERAL HOSPITAL OF SULLIVAN COUNTY - HARRIS DIV INPATIENT ACUTE CARE $ 506.94 A,B COMMUNITY GENERAL HOSPITAL OF SULLIVAN COUNTY G HERMAN DIV INPATIENT ACUTE CARE $ 321.56 A,B ULSTER BENEDICTINE HOSPITAL INPATIENT ACUTE CARE $ 340.16 A,B,C ELLENVILLE COMMUNITY HOSPITAL INPATIENT ACUTE CARE $ 272.86 ALL INCLUSIVE KINGSTON HOSPITAL INPATIENT ACUTE CARE $ 330.33 ALL INCLUSIVE WESTCHESTER BLYTHEDALE CHILDREN'S HOSPITAL INPATIENT ACUTE CARE $ 330.96 A,D BURKE REHABILITATION CENTER INPATIENT ACUTE CARE $ 461.25 ALL INCLUSIVE DOBBS FERRY HOSPITAL INPATIENT ACUTE CARE $ 545.12 ALL INCLUSIVE LAWRENCE HOSPITAL INPATIENT ACUTE CARE $ 434.74 ALL INCLUSIVE JNT VERNON HOSPITAL INPATIENT ACUTE CARE $ 459.77 A,B,C,E,F NEW ROCHELLE HOSPITAL MEDICAL CENTER INPATIENT ACUTE CARE $ 513.44 A,B,C NEW YORK HOSPITAL-CORNELL MEDICAL CENTER WESTCHESTER DIVISION PSYCHIATRIC CARE $ 40.1.37 ALL INCLUSIVE NORTHERN WESTCHESTER HOSPITAL INPATIENT ACUTE CARE $ 485.22 A,B,H,I,K PEEKSKILL HOSPITAL INPATIENT ACUTE CARE $ 391.32 B PHELPS MEMORIAL HOSPITAL ASSOCIATION INPATIENT ACUTE CARE $ 456.53 A,B ST AGNES HOSPITAL INPATIENT ACUTE CARE $ 430.73 A,C,G,K,OTHER: ANATOMICAL PATHOLOGY ST JOHN'S RIVERSIDE HOSPITAL $ 588.52 A,B,C,J INPATIENT ACUTE CARE ST JOSEPH'S HOSPITAL YONKERS $ 466.91 ALL INCLUSIVE INPATIENT ACUTE CARE ST VINCENTS HOSP AND MEDICAL CTR OF NY WESTCHESTER BRANCH PSYCHIATRIC CARE $ 331.05 ALL INCLUSIVE DAILY RATE EXCLUSIONS: WESTCHESTER UNITED HOSPITAL $ 459.21 A,B,D,E INPATIENT ACUTE CARE WESTCHESTER COUNTY MEDICAL CENTER $ 653.92 A,B,C,D,E,F,G, INPATIENT ACUTE CARE OTHER: CYSTOSCOPY WHITE PLAINS HOSPITAL MEDICAL CENTER ER $ 435.23 A,B,C,G,H,I, OTHER:-. INPATIENT ACUTE CARE ELECTRO- DIAGNOSTIC STUDIES, PULMONARY YONKERS GENERAL HOSPITAL $ 399.32 A,C,K INPATIENT ACUTE CARE DAILY RATE EXCLUSIONS: NASSAU CENTRAL GENERAL HOSPITAL INPATIENT ACUTE CARE. $ 412.58 A,B,E,F COMMUNITY HOSPITAL AT GLEN COVE INPATIENT ACUTE CARE $ 441.52 ALL INCLUSIVE FRANKLIN GENERAL HOSPITAL INPATIENT ACUTE CARE $ 571.19 A HEMPSTEAD GENERAL HOSPITAL INPATIENT ACUTE CARE $ 460.39 B,D LONG BEACH MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 426.23 A LONG ISLAND JEWISH - HILLSIDE MEDICAL CENTER (MANHASSET DIV.) INPATIENT ACUTE CARE $ 745.47 A,B OTHER: CARDIAC CATHETERIZATION MASSAPEQUA GENERAL HOSPITAL INPATIENT ACUTE CARE $ 494.72 A,B,D,E MERCY HOSPITAL OF ROCKVILLE CENTER INPATIENT ACUTE CARE $ 452.49 A,E MID-ISLAND HOSPITAL INPATIENT ACUTE CARE $ 430.61 A,B,C,D,E,F NASSAU COUNTY MEDICAL CENTER EAST MEADOW INPATIENT ACUTE CARE $ 653.45 A,B,C,D NORTH SHORE UNIVERSITY HOSPITAL INPATIENT ACUTE CARE $ 602.09 A,B,C,D,E,F,G,M OTHER: SPEECH THERAPY SOUTH NASSAU COMMUNITIES HOSPITAL INPATIENT ACUTE CARE $ 359.85 A,L OTHER: ECHOCARDIOGRAM ST FRANCIS HOSPITAL OF ROSLYN INPATIENT ACUTE CARE $ 1084.75 A SYOSSET COMMUNITY HOSPITAL (HIP HOSPITAL OF L.I.) INPATIENT ACUTE CARE $ 637.30 A WINTHROP UNIVERSITY HOSPITAL (NASSAU HOSP) INPATIENT ACUTE CARE $ 448.97 A,B,C OTHER: CARDIOPULMONARY, ENDOSCOPY, SONOGRAPHY DAILY RATE EXCLUSIONS: SUFFOLK BROOKHAVEN MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 436.23 A,B BRUNSWICK HOSPITAL CENTER INC INPATIENT ACUTE CARE $ 482.94 A,B,E,F REHABILITATION $ 403.28 A,B,E,F CENTRAL SUFFOLK HOSPITAL ASSOCIATION INPATIENT ACUTE CARE $ 456.08 A,B,D,E,F,G,H OTHER: RENAL, PULMONARY, THAL., CARDIAC STRESS TESTS CHURCH CHARITY FOUNDATION - SEE ST JOHN'S EPISCOPAL HOSP-SMITHTOWN COMMUNITY HOSP OF WESTERN SUFFOLK INPATIENT ACUTE CARE $ 404.31 A,B,D EASTERN LONG ISLAND HOSPITAL INPATIENT ACUTE CARE $ 456.89 ALL INCLUSIVE GOOD SAMARITAN HOSPITAL OF WEST ISLIP INPATIENT ACUTE CARE $ 467.84 A HUNTINGTON HOSPITAL INPATIENT ACUTE CARE $ 395.62 A,B,M, OTHER: DIALYSIS, CHEMOTHERAPY JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON NEW YORK INC INPATIENT ACUTE CARE $ 416.47 A,B,E,F,G,H,I SMITHTOWN GENERAL HOSPITAL (SEE COMM HOSP OF WESTERN SUFFOLK) SOUTHAMPTON HOSPITAL INPATIENT ACUTE CARE $ 437.01 ALL INCLUSIVE SOUTHSIDE HOSPITAL INPATIENT ACUTE CARE $ 418.85 A,B,C ST CHARLES HOSPITAL INPATIENT ACUTE CARE $ 404.28 ALL INCLUSIVE ST JOHN'S EPISCOPAL HOSPITAL SMITHTOWN (CHURCH CHARITY FOUNDATION) INPATIENT ACUTE CARE $ 512.77 A,B,C,D,L,N, OTHER: HOLTER MONITOR UNIVERSITY HOSPITAL OF STONY BROOK INPATIENT ACUTE CARE $ 808.45 A,B,C WORKERS' COMPENSATION HOSPITAL RATE SCHEDULE NEW YORK CITY REGION EFFECTIVE 1/1/87 - 12/31/87 DAILY RATE EXCLUSIONS: ASTORIA GENERAL HOSPITAL INPATIENT ACUTE CARE $ 369.67 A,B,F,G BAPTIST MEDICAL CENTER OF NEW YORK INPATIENT ACUTE CARE $ 369.54 A BAYLEY SETON HOSPITAL INPATIENT ACUTE CARE $ 618.00 A,B BETH ISRAEL MEDICAL CENTER INPATIENT ACUTE CARE $ 676.49 A DETOXIFICATION UNIT $ 230.74 A BOOTH MEMORIAL MEDICAL CENTER A,B,C,D,N,P, INPATIENT ACUTE CARE $ 880.68 OTHER: VASCULAR BRONX-LEBANON HOSPITAL CENTER INPATIENT ACUTE CARE $ 591.54 A,C,E,H,K BROOKDALE HOSPITAL MEDICAL CENTER INPATIENT ACUTE CARE $ 521.54 A,C,D BROOKLYN/CALEDONIAN HOSPITAL INPATIENT ACUTE CARE $ 536.66 A,K OTHER: CARDIAC CATH CABRINI HEALTH CARE CTR INPATIENT ACUTE CARE $ 528.11 A,B,C CALVARY HOSPITAL INPATIENT ACUTE CARE $ 416.35 ALL INCLUSIVE DLIC MEDICAL CENTER INPATIENT ACUTE CARE $ 633.97 A,E,F ST MARYS HOSP - SEE SEPARATE LISTING CHURCH CHARITY FOUNDATION - SEE ST JOHN'S EPISCOPAL HOSPITAL COMMUNITY HOSPITAL OF BROOKLYN INC INPATIENT ACUTE CARE $ 424.19 A,B,C,D DEEPDALE GENERAL HOSPITAL INPATIENT ACUTE CARE $ 386.10 A,B,C,D,E DOCTORS HOSPITAL INC INPATIENT ACUTE CARE $ 614.94 A,B,E DOCTORS HOSPITAL OF STATEN ISLAND INPATIENT ACUTE CARE $ 403.07 A,B,D,E,F FLUSHING HOSPITAL AND MEDICAL CENTER INPATIENT ACUTE CARE $ 466.16 A,B,E,N HILLCREST GEN HOSP - SEE CATHOLIC MEDICAL CENTER HIP HOSPITAL INC (LA GUARDIA) INPATIENT ACUTE CARE $ 511.13 A WORKERS' COMPENSATION HOSPITAL RATE SCHEDULE NEW YORK CITY REGION EFFECTIVE 1/1/87 - 12/31/87 DAILY RATE EXCLUSIONS: HOSPITAL FOR JOINT DISEASES AND MEDICAL CENTER ORTHOPEDIC INSTITUTE INPATIENT ACUTE CARE $ 944.92 A,B,C,D HOSPITAL FOR SPECIAL SURGERY INPATIENT ACUTE CARE $ 646.82 A,B,P INSTITUTE OF REHAB MEDICINE NY UNIVERSITY SEE RUSK INST-NYU INTERFAITH MEDICAL CENTER INPATIENT ACUTE CARE $ 604.63 ALL INCLUSIVE JAMAICA HOSPITAL INPATIENT ACUTE CARE $ 523.19 A,B,C,E JOINT DISEASES NORTH GENERAL HOSPITAL INPATIENT ACUTE CARE $ 499.30 ALL INCLUSIVE KINGS HIGHWAY HOSPITAL INPATIENT ACUTE CARE $ 375.10 A,B,C,E KINGSBROOK JEWISH MEDICAL CENTER INPATIENT ACUTE CARE $ 531.90 A,B,C,E,F,C) OTHER: AUDIOLOGY LAGUARDIA HOSP - SEE HIP HOSP LENOX HILL HOSPITAL INPATIENT ACUTE CARE $ 644.54 A;J LONG ISLAND COLLEGE HOSPITAL INPATIENT ACUTE CARE $ 697.46 A,B,C,D,N LONG ISLAND JEWISH-HILLSIDE MED CTR INPATIENT ACUTE CARE $ 745.47 A,B OTHER: CARDIAC- CATHETERIZATION PSYCHIATRIC $ 346.03 SAME AS ABOVE REHABILITATION $ 995.61 SAME AS ABOVE LUTHERAN MEDICAL CENTER INPATIENT ACUTE CARE $ 517.17 A,B,C,E,G,H,I,K MAIMONIDES MEDICAL CENTER INPATIENT ACUTE CARE $ 580.62 A,B,C,D.E,P OTHER: NEONATAL, HEMATOLOGY, ONCOLOGY, RENAL MANHATTAN EYE EAR AND THROAT HOSPITAL INPATIENT ACUTE CARE $ 895.97 A,B,C,E MEDICAL ARTS CENTER HOSPITAL INPATIENT ACUTE CARE $ 387.62 B,D MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES INPATIENT ACUTE CARE $ 913.97 A,B,K WORKERS' COMPENSATION HOSPITAL RATE SCHEDULE NEW YORK CITY REGION EFFECTIVE 1/1/87 - 12/31/87 DAILY RATE EXCLUSIONS: METHODIST HOSPITAL OF BROOKLYN INPATIENT ACUTE CARE $ 587.63 A,B MISERICORDIA HOSPITAL MEDICAL CENTER SEE OUR LADY OF MERCY MED CTR MONTEFIORE HOSPITAL & MEDICAL CENTER INPATIENT ACUTE CARE $ 849.80 A,B,G MOUNT SINAI HOSPITAL INPATIENT ACUTE CARE $ 781.90 A,B,E,F,G,J NY EYE AND EAR INFIRMARY INPATIENT ACUTE CARE $ 520.91 A NEW YORK HOSPITAL AND PAYNE WHITNEY PSYCHIATRIC CLINIC INPATIENT ACUTE CARE $ 752.33 A,B,D OTHER: CYTOLOGY NY INFIRMARY BEEKMAN DOWNTOWN HOSPITAL INPATIENT ACUTE CARE $ 590.23 A,B NY UNIVERSITY MEDICAL CENTER INPATIENT ACUTE CARE $ 749.66 A,B,C,D,N OSTEOEOPATHIC HOSPITAL AND CLINIC OF NEW YORK HILLCREST GENERAL HOSPITAL - CATHOLIC MEDICAL CENTER OUR LADY OF MERCY MED CTR (MISERICORDIA HOSP) INPATIENT ACUTE CARE $ 540.97 A,B,C,D,E PARKWAY HOSPITAL INPATIENT ACUTE CARE $ 389.99 A PARSONS HOSPITAL INPATIENT ACUTE CARE $ 358.25 A,B,C PELHAM BAY GENERAL HOSPITAL INPATIENT ACUTE CARE $ 398.60 A,B,C,D PENINSULA HOSPITAL CENTER INPATIENT ACUTE CARE $ 451.65 A,B,G,I,K PHYSICIANS HOSPITAL INPATIENT ACUTE CARE $ 355.13 ALL INCLUSIVE PRESBYTERIAN HOSPITAL IN THE CITY OF NY INPATIENT ACUTE CARE $ 639.21 A,B,D WORKERS' COMPENSATION HOSPITAL RATE SCHEDULE NEW YORK CITY REGION EFFECTIVE 1/1/87 - 12/31/87 DAILY RATE EXCLUSIONS: RICHMOND MEMORIAL HOSPITAL AND HEALTH CENTER INPATIENT ACUTE CARE $ 449.97 A,B ROCKEFELLER UNIVERSITY HOSPITAL INPATIENT ACUTE CARE $ 295.62 ALL INCLUSIVE RUSK INSTITUTE - NYU INPATIENT ACUTE CARE $ 489.09 A,5,0 ST BARNABAS HOSPITAL INPATIENT ACUTE CARE $ 497.80 A,B,C,E,F,H2O ST CLARE'S HOSPITAL AND HEALTH CENTER INPATIENT ACUTE CARE $ 420.17 A,B,C,E,F ST JOHN'S EPISCOPAL HOSPITAL (CHURCH CHARITY FOUNDATION) INPATIENT ACUTE CARE $ 512.77 A,B,C,D,L,N OTHER: HOLTER MONITOR ST JOSEPH'S HOSPITAL - SEE CATHOLIC MEDICAL CENTER ST LUKE'S - ROOSEVELT HOSPITAL CENTER INPATIENT ACUTE CARE $ 615.88 DETOXIFICATION UNIT $ 185.22 ST MARY'S HOSPITAL OF BROOKLYN INPATIENT ACUTE CARE $ 623.61 E,F ST VINCENT'S HOSPITAL AND MEDICAL CENTER OF NY INPATIENT ACUTE CARE $ 678.28 A,I OTHER: DIAGNOSTIC RADIOLOGY ST VINCENT'S MEDICAL CENTER OF RICHMOND INPATIENT ACUTE CARE $ 485.52 B,E STATE UNIVERSITY HOSPITAL DOWNSTATE MEDICAL CENTER INPATIENT ACUTE CARE $ 638.74 A,B OTHER: PHYSIATRY STATEN ISLAND HOSPITAL $ 531.41 A,B,C,D,E,F,G,H,I, INPATIENT ACUTE CARE J,K,L,M,N,O,P,R UNION HOSPITAL OF THE BRONX $ 395.33 A,C INPATIENT ACUTE CARE VICTORY MEMORIAL HOSPITAL $ 400.54 A INPATIENT ACUTE CARE WESTCHESTER SQUARE HOSPITAL INPATIENT ACUTE CARE $ 480.22 A,B,C WYCKOFF HEIGHTS HOSPITAL INPATIENT ACUTE CARE $ 435.33 A,H WORKERS' COMPENSATION HOSPITAL RATE SCHEDULE NEW YORK CITY REGION EFFECTIVE 1/1/87 - 12/31/87 DAILY RATE EXCLUSIONS: HEALTH AND HOSPITAL CORPORATION BELLEVUE HOSPITAL CENTER INPATIENT ACUTE CARE $ 589.28. ALL INCLUSIVE BRONX MUNICIPAL HOSPITAL CENTER INPATIENT ACUTE CARE $ 664.61 ALL INCLUSIVE CITY HOSPITAL CENTER AT ELMHURST INPATIENT ACUTE CARE $ 568.23 ALL INCLUSIVE COLER MEMORIAL HOSPITAL AND HOME INPATIENT ACUTE CARE $ 338.03 ALL INCLUSIVE CONEY ISLAND HOSPITAL INPATIENT ACUTE CARE $ 573.77 A,B,D,G,H GOLDWATER MEMORIAL HOSPITAL INPATIENT ACUTE CARE $ 294.38 ALL INCLUSIVE HARLEM HOSPITAL CENTER INPATIENT ACUTE CARE. $ 648.90 ALL INCLUSIVE KINGS COUNTY HOSPITAL CENTER INPATIENT ACUTE CARE $ 540.96 ALL INCLUSIVE FOLN MEDICAL & MENTAL HEALTH CENTER INPATIENT ACUTE CARE $ 680.64 ALL INCLUSIVE METROPOLITAN HOSPITAL CENTER INPATIENT ACUTE CARE $ 672.13 ALL INCLUSIVE NORTH CENTRAL BRONX HOSPITAL INPATIENT ACUTE CARE $ 777.56 ALL INCLUSIVE QUEENS HOSPITAL CENTER INPATIENT ACUTE CARE $ 661.15 ALL INCLUSIVE WOODHULL MEDICAL AND MENTAL HEALTH CENTER INPATIENT ACUTE CARE $ 792.65 ALL INCLUSIVE